Reflections on 40 years as a doctor in Women's Health

Tag Archives: white male privilege

I suppose it has always happened -there’s very little that’s really new around; I still wonder why it’s necessary, though. Even through the lens of my white male privilege –my through-a-glass-darkly upbringing- I continue to wonder about these things. Why, for example, do I even have a lens? Was it necessary simply because in the chromosomal lottery, I got the Y? Or is it rather because others lack one? Others? There’s a difference, I guess: one side brings children -even the Y’s- into the world, and nourishes them until they are old enough to be independent; the other side… what, fears that ability, despite experiencing it themselves? I’m sorry, I don’t understand. Call me naïve, but does that not make us interdependent? Partners in survival?

Anyway, despite my anguished jeremiad, and notwithstanding my somewhat childish credulity, I love it that people have always pressed against boundaries. Crossed borders. Transcended gender constraints. Limits which have been arbitrarily imposed have been challenges from time immemorial.

Until we searched, records of past successes were unfortunately few in number -hidden, or at least difficult to access- not necessarily because they failed, but more often I would suspect because history is written by the dominant. Controlled by those who commanded the prevailing power structure and had greater access to whatever educational resources were available at the time. Military and church, after all, were predominately unisexual, so it seemed rare to read about females that stood out for things other than pandering to male needs, or gaining fame as consorts to royalty.

A few exceptions proved the rule, of course. To pick only a few of my favourites of the many historical examples we were once offered: the fourth century Greek mathematician and philosopher, Hypatia; Lady Li, an artist in tenth century China; the twelfth century polymath Hildegard von Bingen. She was not only a Benedictine abbess, but also a philosopher, natural historian and writer -and she first came to my attention for her musical compositions; Fanny Mendelssohn, a composer and pianist, the talented sister of the more well-known Felix. And then there was the nineteenth century novelist Georges Sand, albeit perhaps more famous for her association with Chopin (and other famous men of the time) than her writings.

The list has recently become much, much longer -and growing- as we begin to delve into historical documents more thoroughly. It would seem that our knowledge of the past is directly proportional to the prevailing ethos –the effort expended… There have always been women who’ve excelled, but there have not always been people who wanted to hear about it…

I do, though; I’m always inspired by anyone who is able to critically assess that which represses them, and come up with a solution. I suppose most of the answers are variations on the same methodology, and yet they still make me want to cheer. An article I found in the BBC news was particularly heartening I think –especially its little twist: http://www.bbc.com/news/magazine-39705424

It’s the story of a woman in Tanzania who ran away from an abusive husband and ended up in the ‘small Tanzanian town of Mererani, in the foothills of Africa’s highest mountain, Kilimanjaro – the only place in the world where mining for a rare, violet-blue gemstone called tanzanite takes place.’

Only men were allowed in the mine so, like in a fairy story, she disguised herself as a man and went to work. She called herself ‘Uncle Hussein’. ‘”I acted like a gorilla,” she says, “I could fight, my language was bad, I could carry a big knife like a Maasai [warrior]. Nobody knew I was a woman because everything I was doing I was doing like a man.”’

And, just like in a real fairy story, ‘after about a year, she struck it rich, uncovering two massive clusters of tanzanite stones. With the money that she made she built new homes for her father, mother and twin sister, bought herself more tools, and began employing miners to work for her.’

But, as in all parables like this, ‘her cover was so convincing that it took an extraordinary set of circumstances for her true identity to finally be revealed. A local woman had reported that she’d been raped by some of the miners and Pili [Uncle Hussein’s real name] was arrested as a suspect.’

Of course, the truth was soon revealed and she was released. ‘But even after that her fellow miners found it hard to believe they had been duped for so long. […] Pili has built a successful career and today owns her own mining company with 70 employees. Three of her employees are women, but they work as cooks not as miners. Pili says that although there are more women in the mining industry than when she started out, even today very few actually work in the mines. “Some [women] wash the stones, some are brokers, some are cooking,” she says, “but they’re not going down in to the mines, it’s not easy to get women to do what I did.”

She has married again, although ‘Finding a husband when everyone is accustomed to regarding you as a man is not easy, Pili found, though eventually she succeeded. “The question in his mind was always, ‘Is she really a woman?'” she recalls. “It took five years for him to come closer to me.”’

‘Pili’s success has enabled her to pay for the education of more than 30 nieces, nephews and grandchildren. But despite this she says she wouldn’t encourage her own daughter to follow in her footsteps. “I’m proud of what I did – it has made me rich, but it was hard for me,” she says. “I want to make sure that my daughter goes to school, she gets an education and then she is able to run her life in a very different way, far away from what I experienced.”’

I love the kind of story of someone encountering and then overcoming seemingly overwhelming odds. I suppose we all do –it’s a classic fable, isn’t it? A veni, vidi, vici episode to be sure. But I am still saddened that it has to be like this. Not that there have to be challenges, you understand –it would be a boring world that offered none- nor even that only a few manage to see it as an opportunity, a fence that needs climbing. No, I’m sad that after all this time, whether out of fear or mistrust, there are still walls like this.

And yet, I remember lines from a poem by William Ernest Henley –‘Invictus’: ‘In the fell clutch of circumstance I have not winced nor cried aloud. Under the bludgeonings of chance my head is bloody, but unbowed’. And, more especially, the last stanza: ‘It matters not how strait the gate, how charged with punishments the scroll, I am the master of my fate, I am the captain of my soul.’